VICKI LYNN NIEDERMAYER


Address: 5801 Gloucester Ct, Arlington, TX 76018-2384
Phone: 8176907218

VICKI LYNN NIEDERMAYER (NPI# 1083817357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083817357
Entity Type Individual
Full Name VICKI LYNN NIEDERMAYER
Other Name VICKI LYNN TAYLOR
Credential BCBA
Practice Address 5801 Gloucester Ct
Arlington
TX 76018-2384
Practice Telephone 8176907218
Mailing Telephone 8176907218
Enumeration Date 2007-06-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
1-07-3381 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BOARD CERT. BEH.ANALYST 1-07-3381 01

Office Location

Street Address 5801 GLOUCESTER CT
City ARLINGTON
State TX
Zip Code 76018-2384

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City ARLINGTON
Zip Code 76018

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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